Update on mental health services in the Vale of York and Bootham Park Hospital

Since we took over responsibility for mental health services across the Vale of York on 1 October 2015 we have been working with clinical staff and partners to do everything we can to minimise the disruption caused by the closure of Bootham Park on service users, their carers and staff.

Since we took over responsibility for mental health services across the Vale of York on 1 October 2015 we have been working with clinical staff and partners to do everything we can to minimise the disruption caused by the closure of Bootham Park on service users, their carers and staff.

Immediate actions undertaken

  • Adult inpatient / community mental health services - we strengthened the crisis and home treatment teams to support more people at home and minimise the need for hospital admission. Adult inpatients are being admitted to our wards, primarily Roseberry Park in Middlesbrough, and we have arrangements in place to reimburse people for travel costs. We have also set up a discharge liaison team who are working closely with the inpatient wards and supporting service users and their families. Members of this clinical team visit the wards daily and maintain close links with carers. They help make sure people are discharged back home as quickly and as safely as possible with the appropriate levels of support and are there to help with practical arrangements.
  • 136 Suite (place of safety) – we have made arrangements with North Yorkshire Police to accommodate anyone who needs a place of safety in our existing facilities at Harrogate District Hospital. If this facility is full people will be transferred to 136 suites in either Northallerton or Scarborough. We have also enhanced the street triage service in York.
  • Outpatients – people are being seen at a number of locations and we have contacted service users to let them know. However, if people turn up at Bootham Park Hospital we arrange transport for them to their appointment. The clozaril clinic is being run at the Retreat and people who need ECT are receiving their treatment at York Hospital.
  • Helpline – we set up a helpline (01904 610700) for people who have questions or concerns. This number also covers the crisis service and is open 24 hours a day, seven days a week.

Short to medium term plans

  • Outpatients /136 suite / ECT – we are looking to re-establish as much as possible back at Bootham Park Hospital, with the agreement of the Care Quality Commission (CQC). The CQC have visited Bootham Park to review suitability of the estate to provide Section 136, outpatients and ECT. They have requested additional information and for further work to be done and this is being progressed as quickly as possible. We hope that this can be completed early in the new year.
  • Inpatient services - we have been working with partners and clinical staff to identify interim options that will enable us to bring adult inpatient services back to York as soon as possible.

    There are no easy or simple solutions to this and none of the options available to us are ideal. We have reviewed all possible alternatives and, based on the work we’ve done to date, we believe that the best option is to adapt Peppermill Court for use as an adult inpatient unit. This facility currently provides inpatient beds for older people.

    This option would inevitably have an impact on the configuration and number of inpatient beds across other units in the Vale of York. There is still work to do to understand this and then, if the proposal is agreed, to minimise the disruption for service users, their families and staff. This work will include strengthening community services so that we can support more people at home and reviewing how we provide rehabilitation and recovery services so that we have sufficient beds available locally for older people.

    The work is likely to take up to six months to complete. It will need careful planning but it is also an opportunity to review and improve the way we provide services and support more people in their home environment.

    We will work closely with our partners, staff as well as service users and carers over the coming months as we develop our proposals to get the best possible outcome for people in the Vale of York.

Longer term plans

  • A new hospital - our ultimate aim is to have a new hospital in York and we are working with partners to consider and develop plans. TEWV has some of the best inpatient facilities in the country and we hope that by 2019 people in the Vale of York will have access to a state-of-the-art facility.

 

This is a difficult time for service users and their families and a challenging time for staff who are working hard to give service users and their families the best possible care and support. We are also grateful for the support and help of a wide range of people and organisations.

For more information and updates visit our Bootham Park Hospital page